Non-invasive diagnosis of hepatocellular carcinoma revisited

We read with interest the recent work by Ho et al demonstrating mutational hyperactivation of mammalian target of rapamycin signalling in a subgroup of hepatocellular carcinoma (HCC).1 As Berasain and Lechel concluded that the prospect of a positive therapeutic response may outweigh the risk associa...

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Hauptverfasser: Müller, Cora (VerfasserIn) , Waldburger, Nina (VerfasserIn) , Stampfl, Ulrike (VerfasserIn) , Kauczor, Hans-Ulrich (VerfasserIn) , Schirmacher, Peter (VerfasserIn) , Sommer, Christof-Matthias (VerfasserIn) , Longerich, Thomas (VerfasserIn)
Dokumenttyp: Article (Journal) Editorial
Sprache:Englisch
Veröffentlicht: 2018
In: Gut
Year: 2017, Jahrgang: 67, Heft: 5, Pages: 991-993
ISSN:1468-3288
DOI:10.1136/gutjnl-2017-314981
Online-Zugang:Verlag, Pay-per-use, Volltext: http://dx.doi.org/10.1136/gutjnl-2017-314981
Verlag, Pay-per-use, Volltext: http://gut.bmj.com/content/67/5/991
Volltext
Verfasserangaben:Cora Mueller, Nina Waldburger, Ulrike Stampfl, Hans-Ulrich Kauczor, Peter Schirmacher, Christof Matthias Sommer, Thomas Longerich

MARC

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520 |a We read with interest the recent work by Ho et al demonstrating mutational hyperactivation of mammalian target of rapamycin signalling in a subgroup of hepatocellular carcinoma (HCC).1 As Berasain and Lechel concluded that the prospect of a positive therapeutic response may outweigh the risk associated with the HCC biopsy procedure2 and histology is essential for confirming a diagnosis of intrahepatic cholangiocarcinoma (ICC),3 we revisited the performance of non-invasive HCC diagnosis as recommended by current guidelines (eg, American Association for the Study of Liver Diseases (AASLD)) in clinical practice. 4 We retrospectively analysed all patients (n=182) in which a CT-guided liver biopsy was performed at a tertiary referral centre within a 9-year period due to the clinical differential diagnosis of HCC. After quality control, a total of 94 biopsies (figure 1A, see online supplementary table 1) could be evaluated. HCC development was associated with the presence of cirrhosis (n=51/65, p<0.001), which was also found in 27% (3/11) of ICC and 33% (1/3) of combined hepatocellular-cholangiocarcinoma (HCC-CC) patients. The number of false-positive non-invasive HCC diagnosis was higher in patients without cirrhosis (n=13/19; table … 
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